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1184152241
ANDREW JOHN PETKUS
LOS ANGELES, CA
NPI
1184152241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY-28858)
Enumeration Date
2017-06-01
Last Update Date
2023-11-27
Business Address
ANDREW JOHN PETKUS Ph.D.
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033-5315
Phone number: 323-442-5710
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Mailing Address
ANDREW JOHN PETKUS Ph.D.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5710
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